Individual
KIMBERLY ANN GERALDEZ GRAVA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
N.P.
Contact information
Practice address
201 S BUENA VISTA ST STE 100, BURBANK, CA 91505-4570
(818) 525-5123
Mailing address
201 S BUENA VISTA ST STE 100, BURBANK, CA 91505-4570
(818) 525-5123
Taxonomy
Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
Primary
95005055
CA
Other
Enumeration date
12/29/2016
Last updated
06/13/2022
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